[Question #5792] Need answers part two

20 months ago
Hello Dr.Hook I am back again. My anxiety has kicked back in to the unprotect exposure I had three years ago. I know I tested negative for chlamydia/gonorrhea but now I am concerned because I recall along with the red spots on my penis head I had discomfort while peeing. I also recall I took somewhere between 1250-1750 mg of azithromycin months after the exposure for an upper respiratory infection. Would this effect my test results now? 
Time line 
September 2016 unprotected sex with freshman in college blonde America 
October 2016 had the penis symptoms of red dots discharge and discomfort while peeing 
May 2017 of the same year took the azithromycin
May 2019 tested negative for chlymadia/gonnorhea at quest diagnostic using a third party called std check
Can I trust these results? I’m having trouble trusting them. 
Edward W. Hook M.D.
Edward W. Hook M.D.
20 months ago
Welcome back to the Forum.  I'm sorry that your concerns over this distant exposure continues to worry you.  Several of the questions you ask above are redundant and could have been answered by reviewing our earlier interaction. The fact that you may have had discomfort on urination back then is not relevant. The azithromycin you took would have cured chlamydia, NGU and most gonorrhea, a result that is verified by your earlier negative test results (I said " Yes, the RNA TMA test for gonorrhea and chlamydia is made by Hologic and it provides reliable results.  Once again, I urge you to believe your results."  

You may very well not have needed therapy at all but, if you did, your negative test results prove that you are not infected.  

The STD Check service uses reputable labs, their results are reliable.

In all seriousness, I think you are seriously overthinking this long past event.  Please put your fears aside and move forward without concern.  EWH
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20 months ago

Resubmitting my answer because I used safari and not chrome so I don’t know if it can be seen. 

Hello Dr.Hook I am back again. My anxiety has kicked back in to the unprotect exposure I had three years ago. I know I tested negative for chlamydia/gonorrhea but now I am concerned because I recall along with the red spots on my penis head I had discomfort while peeing. I also recall I took somewhere between 1250-1750 mg of azithromycin months after the exposure for an upper respiratory infection. Would this effect my test results now? 
Time line 
September 2016 unprotected sex with freshman in college blonde America 
October 2016 had the penis symptoms of red dots discharge and discomfort while peeing 
May 2017 of the same year took the azithromycin
May 2019 tested negative for chlymadia/gonnorhea at quest diagnostic using a third party called std check
Can I trust these results? I’m having trouble trusting them. 

20 months ago
I will try to accept my results doctor. I guess I just build these ideas in my head that quest diagnostics and the website I used could’ve messed up and I have improper results. Maybe I should seek counseling and anxiety help. So you really think I should fully trust my oraquick and std test? Should I also worry about trich?
20 months ago
Furthermore, you are saying the antibiotics I took would not effect much results and the negative is a true negative correct and to move on? 
Edward W. Hook M.D.
Edward W. Hook M.D.
20 months ago
Several responses.  First the facts:
1.  Quest is a highly reliable laboratory which is certified thought the College of American Pathologists.  You should believe your results.
2.  Please don't worry about trich.  when men have it, it appears that they typically clear it over time without therapy.  You would have cleared your infection by now.
3.  Antibiotics taken more than a year ago would have no effect on current test results.  You really should believe your test results.
4.  Yes, you should believe your Oraquick result.
5.  FINALLY, There is something more than run of the mile anxiety going on here.  For you to be now worrying about a single, low risk encounter (remember, most people do not have STIs, you have no reason to think that your partner did, even when persons have STIs, the majority of exposures do not lead to infection).  Further, you had no symptoms suggestive of STI, and you have negative tests, yet you are having trouble accepting that you do not have an infection and that you are not putting loved ones at risk.  My sense is that you need help in figuring out why you are so worried (guilt?) and may need professional counseling help to move ahead.

I hope these responses are helpful to you.  You really need to believe your test results. EWH
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20 months ago
Final question and I hope after this I can close the book. I shouldn’t worry about DGI or gonococcal arthritis? Would those clear by itself say in a week or is that a medical emergency you wouldn’t miss it? I will follow your advice doctor and get help and forget about all this and move on thank you 
Edward W. Hook M.D.
Edward W. Hook M.D.
20 months ago
there is nothing in the information you have provided to suggest any reason whatsoever for concern about DGI.  you are in the clear.

time to move on.  As I suspect you know, we provide up to three responses for each client's questions, this is my 3rd response. Therefore this thread will be closed shortly without further responses.  I hope the information provided has been helpful.  Please don't worry. EWH
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